An interesting circumstance is happening in health care. The government, including state and federal entities and private enterprises are both funding health care and providing health care. The funding and provision of health care are two entirely separate issues and, although inter-related, should not be confused with each other. As the federal government appears to be planning to reduce its economic footprint in health care, the states may need to make economic choices regarding who will provide particular services in their states. Mental health crisis teams in Massachusetts are now fully served by private vendors. In a process that began [More]

In a recent Thursday night, my wife and I drove into Harvard Square to hear a talk by Damion Searls, the author of “The Inkblots,” a new book about Hermann Rorschach and the test that Searls described as once having been as emblematic of the psychologist as the stethoscope is of the physician. The square is a short drive from our home over a long road rich in memories and connections to the beginnings of my career as a psychologist. I have not traveled this road alone and have always been grateful for my companions on the way – my [More]

If ever we needed heroes, the time is now. Every day, the morning paper brings news of drastic actions taken by President Trump and widespread public demonstrations of outrage and solidarity with those he maligns or endangers with his policies of exclusion. Building a wall between us and Mexico, closing our borders to refugees and immigrants and acting to endanger the prospects for universal health insurance repudiate the values that have always made America great. Never mind making America great again. In 1630, when John Winthrop called the Massachusetts Bay Colony a “city on a hill,” watched by the world, [More]

As we stand here watching the birds at our winter feeder, I remember writing about the challenge of keeping the squirrels away nearly 10 years ago. By the time we had run through our repertoire of clever strategies to foil our hungry visitors, I was beginning to doubt that I could ever find a way to enjoy the birds without raising my blood pressure trying to chase away the squirrels. We had failed at every attempt, each time being out-maneuvered by squirrels that were smarter, stronger and more agile than the ones our feeding devices were designed to thwart. In [More]

Some of the nicest people I know have dogs. Either their number is increasing or they are poised in an ever-tightening circle around me until I shall soon hear nothing but their heartwarming stories of canine companionship. The stories are seductive and so are the photos, proudly displayed on smart phones or sent in text messages and emails. It’s enough to make me go out and get a dog. On the other hand, dog ownership is a big responsibility and not something to take lightly, especially not if you are just starting to enjoy the freedom that comes with retirement. [More]

Sometimes we have to remind ourselves to slow down, especially when we travel. And so my wife and I started the morning with breakfast in a park near our London hotel, relaxing at an outdoor café overlooking an expansive lawn punctuated with beds of autumn flowers. For our main event of the day, we planned a visit to Westminster Abbey. The rest we left to chance and whim, never considering that we would spend most of the day in church or what we would take with us when we left. I had been coming to London since my days in [More]

I thought I knew all the benefits of travel but a recent trip to England introduced me to one I had yet to consider, travel as an act of faith. In its theological meaning, faith is the substance of things hoped for, the evidence of things unseen. When I said good-bye to my checked baggage in Boston, the substance of my hope was simply that we would meet again in London the next morning. Between now and then, both of us would travel on the same two airplanes, my wife and I in a pressurized cabin, our baggage out of [More]

In a book group discussing the spirituality of caring for people with dementia, it doesn’t take long before we begin to discuss how dementia affects the personhood of the afflicted. It is a question at once philosophical and practical. What remains when dementia has robbed a person of his memories and his capacity to think logically, speak coherently and express relevant ideas and emotions? On a practical level, if the answer is nothing of the individual’s former self, then his loved ones can spare themselves the anguish and inconvenience of regular visits. In that sense, our loved one has already [More]

Massachusetts is taking another look at non-compete agreements. Historically, non-compete agreements were in place to limit an employee, who leaves the employment of a particular employer, from competing with that employer after his term of employment ends. The concept of these non-compete agreements was based on a belief that the employer has provided the employee with specific training or inside, proprietary information (such as trade secrets or customer-patient lists), which should be limited in its use competing against the employer. The countervailing pressure, in support of an employee going to a new position without any constraints, is that an employee [More]

At the risk of appearing to be living a cliché of the retired life, I must say that I have been spending more time these days reading obituaries. It could be because I have more time to read the morning paper and the obituaries are printed in the same section as the funnies. I always turn to the funnies after a brief glance at the bad news on the front page. Bad news can wait and, if I somehow miss it in the paper, that’s what television and Internet news programs are for. I also receive obituaries by email from [More]